Laserfiche WebLink
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receved <br /> I Phone Contact for Permitting F( ?/3 7 40 i dr C) <br /> rrTTTTTM�......LLI.......===.. .......... ...... <br /> Owner's Name Owner Phone Number <br /> Owner's Address l-3yv �lwrl Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION tQ BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F_ SQ FOOTAGE HEIGHT <br /> BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> U�IPLUMBING I$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> .................... <br /> BUILDER COMPANY <br /> SIGNATURE . REGISTERED Y/ N FEE CURREN LKLN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_YI_N J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> _L N_j <br /> Address oAo �Jl License#AAAV <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_YI_N_j <br /> Address License# I <br /> I I!I I I I I I I I I I I I i I I I I I I I m I I I I I 1 2 111111 1 111111 f I I I 1 6 1 11 11111 i I ff I I I I I I I I I I I I I+ <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of i Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilitles-SAI-clumpster;'Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ­­ ..(copy of contract.required)-.., <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen6es(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roa4ways..9eeds.RdW:, <br />